Organization Active NPI

Juneau Foot & Ankle Center

  • Podiatric Clinic/Center
  • Juneau, AK
National Provider Identifier
1285880005
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
6398 Issued in AK
Legal business name
JUNEAU FOOT & ANKLE CENTER
Practice address
8800 Glacier Hwy
218
Juneau, AK 99801-8087
Phone
(907) 789-0405
NPI assigned
Aug 12, 2008
Last updated
Oct 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kelly Marie Moxley, D.P.M.NPI 1669673596
Title
Surgical Podiatrist
Phone
(907) 789-0405

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 6398 AK Primary

Addresses

Primary practice location

8800 Glacier Hwy
218
Juneau, AK 99801-8087

Mailing address

8800 Glacier Hwy
Suite 218
Juneau, AK 99801-8087
Phone (907) 789-0405

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1285880005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 GLACIER HWY",
            "address_2": "SUITE 218",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018087",
            "telephone_number": "907-789-0405",
            "fax_number": "907-789-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 GLACIER HWY",
            "address_2": "218",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018087",
            "telephone_number": "907-789-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNEAU FOOT & ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "MOXLEY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SURGICAL PODIATRIST",
        "authorized_official_telephone_number": "907-789-0405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "AK",
            "license": "6398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.